Search › Illinois › 122300000X
Jack Desse, DMD
NPI 1396427381 · on the registry since 2023
Practice
- Address
- 1809 Homer M Adams Pkwy Unit A
Alton, IL 62002 - Phone
- (618) 440-3758
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-08-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois